Contrast-enhanced ultrasound (CEUS) in the follow-up of abdominal solid organ trauma: an international survey prior to the PseAn study.

Abdominal trauma CEUS Contrast CT scan Solid organ injury

Journal

European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350

Informations de publication

Date de publication:
13 Oct 2023
Historique:
received: 15 06 2023
accepted: 08 09 2023
medline: 13 10 2023
pubmed: 13 10 2023
entrez: 12 10 2023
Statut: aheadofprint

Résumé

The blunt and penetrating abdominal trauma follow-up relies on contrast CT scan to detect solid organ injuries. CEUS is not widely used worldwide, despite its accuracy and feasibility in identifying parenchymal and vascular lesions. This survey aims to define the current use of CEUS in Trauma Centers and the expectations of Emergency Surgeons regarding its role. We sent an online questionnaire composed of 10 questions to trauma physicians worldwide during the period of September 2022 to March 2023. 59 participants from 53 different centers answered the questionnaire. 76.2% of the enrolled participants have CEUS available at their Institution, and 49.2% think that it can replace CT scan. Contrast-CT scan remains the preferred option in the follow-up of blunt liver (69.5%), spleen (72.9%) and kidney (76.3%) injuries, followed by CEUS which is used in 18.6% for liver, 20.3% for spleen and 15.3% for kidney injuries. The results are similar for penetrating abdominal trauma, with contrast CT scan being the first-line imaging technique (91.5% for liver, 91.5% for spleen and 88.1% for kidney injuries), followed by CEUS (5.1% for liver, 5.1% for spleen and 6.8% for kidney injuries). Our survey shows that CEUS is still underutilized in the follow-up of abdominal trauma, even though many emergency surgeons consider it as a valid alternative to contrast CT scan.

Sections du résumé

BACKGROUND BACKGROUND
The blunt and penetrating abdominal trauma follow-up relies on contrast CT scan to detect solid organ injuries. CEUS is not widely used worldwide, despite its accuracy and feasibility in identifying parenchymal and vascular lesions. This survey aims to define the current use of CEUS in Trauma Centers and the expectations of Emergency Surgeons regarding its role.
METHODS METHODS
We sent an online questionnaire composed of 10 questions to trauma physicians worldwide during the period of September 2022 to March 2023.
RESULTS RESULTS
59 participants from 53 different centers answered the questionnaire. 76.2% of the enrolled participants have CEUS available at their Institution, and 49.2% think that it can replace CT scan. Contrast-CT scan remains the preferred option in the follow-up of blunt liver (69.5%), spleen (72.9%) and kidney (76.3%) injuries, followed by CEUS which is used in 18.6% for liver, 20.3% for spleen and 15.3% for kidney injuries. The results are similar for penetrating abdominal trauma, with contrast CT scan being the first-line imaging technique (91.5% for liver, 91.5% for spleen and 88.1% for kidney injuries), followed by CEUS (5.1% for liver, 5.1% for spleen and 6.8% for kidney injuries).
CONCLUSIONS CONCLUSIONS
Our survey shows that CEUS is still underutilized in the follow-up of abdominal trauma, even though many emergency surgeons consider it as a valid alternative to contrast CT scan.

Identifiants

pubmed: 37828351
doi: 10.1007/s00068-023-02364-z
pii: 10.1007/s00068-023-02364-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Investigateurs

Elia Lunghi (E)
Diego Visconti (D)
Isaac Chukwu (I)
Ulrich Ronellenfitsch (U)
Edoardo Picetti (E)
Alessio Giordano (A)
Jacopo Andreuccetti (J)
Sharfuddin Chowdhury (S)
Isidoro Di Carlo (I)
Yunfeng Cui (Y)
Francesco Favi (F)
Nikolaos Pararas (N)
Ichadmigm Gomel (I)
Belinda De Simone (B)
Jakov Mihanović (J)
Andrey Litvin (A)
Edouard Girard (E)
Julio Abba (J)
Giuseppe Palomba (G)
Zaza Demetrashvili (Z)
Fabrizio D'Acapito (F)
And Dzulkarnaen (A)
Fabrizio Sammartano (F)
Gennaro Mazzarella (G)
Luca Degrate (L)
Francesk Mulita (F)
Alexander Julianov (A)
Azize Saroglu (A)
Alan Biloslavo (A)
Amit Gupta (A)
Selmy Awad (S)
Andreas Hecker (A)
Martina Colin (M)
Akira Kuriyama (A)
Nikolaos Machairas (N)
Massimiliano Veroux (M)
Hazem Beji (H)
Heura Llaquet Bayo (HL)
Papadopoulos Aristeidis (P)
Pietro Fransvea (P)
Francesco Fleres (F)
Alessia Malagnino (A)
Arpád Panyko (A)
Domenico Lacavalla (D)
Ionut Negoi (I)
Joseph Dawson (J)
Federica Rigo (F)
Adriana Toro (A)
Savino Occhionorelli (S)
Carlo Altomare (C)

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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Auteurs

Giuliano Santolamazza (G)

Department of Emergency and Trauma Surgery, Trauma and Acute Care Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, MI, Italy.

Francesco Virdis (F)

Department of Emergency and Trauma Surgery, Trauma and Acute Care Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, MI, Italy. francesco.virdis@ospedaleniguarda.it.

Fikri Abu-Zidan (F)

The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.

Stefano Piero Bernardo Cioffi (SPB)

Department of Emergency and Trauma Surgery, Trauma and Acute Care Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, MI, Italy.

Elisa Reitano (E)

IRCAD Research Institute Against Digestive Cancer, Strasbourg, France.

Michele Altomare (M)

Department of Emergency and Trauma Surgery, Trauma and Acute Care Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, MI, Italy.

Roberto Bini (R)

Department of Emergency and Trauma Surgery, Trauma and Acute Care Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, MI, Italy.

Mauro Podda (M)

Department of General and Emergency Surgery, Cagliari University Hospital, Cagliari, Italy.

Jayant Kumar (J)

Department of Medicine, Faculty of Surgery and Cancer, Imperial College London, London, England.

Osvaldo Chiara (O)

Department of Emergency and Trauma Surgery, Trauma and Acute Care Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, MI, Italy.

Stefania Cimbanassi (S)

Department of Emergency and Trauma Surgery, Trauma and Acute Care Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, MI, Italy.

Classifications MeSH